| NPI | 1275886475 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MA RN285052) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: MA RN285052) |
| 363LA2100X Nurse Practitioner, Acute Care (Licence: NH 057939-23) | |
| Enumeration Date | 2012-10-25 |
| Last Update Date | 2023-03-14 |